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"I feel completely let down by the system"

About: Royal Infirmary of Edinburgh at Little France / Gynaecology

(as a service user),

I want to share my experience because I feel completely let down by the system and hope this will lead to change.

I have been struggling with severe symptoms for over a year, including heavy and prolonged bleeding, severe pelvic pain, and significant weight loss (nearly 4 stone). Despite repeated GP appointments, scans, and tests, I have not received the timely specialist care I urgently need.

I was referred under the urgent suspected cancer pathway for cervical and bladder cancer last month. NHS Lothian guidance and RefHelp standards say patients should be seen within 14 days, yet weeks have passed without this happening. My symptoms have worsened dramatically, and I now require strong pain medication just to cope.

Recent investigations have confirmed endometriosis, adenomyosis, an ovarian cyst, major adhesions causing my fallopian tubes to be stuck, and endometriosis in my abdominal wall, which could lead to a hernia. These are serious findings, yet there is still no coordinated plan.

What is most distressing is that no one is connecting the dots or looking at me holistically. Each issue is treated as separate, when it is very clear they are linked. I have a lifelong history of cervical pathology, including multiple abnormal smears, colposcopies, and a cervical stitch during IVF pregnancy because previous treatments left me with very little cervix. This should have flagged me as high-risk, but it has been overlooked.

The emotional toll has been immense. The delays and dismissive interactions have left me feeling unsafe and abandoned.

I am sharing this because I believe patients deserve better. We need joined-up care, timely action, and compassion. Please, NHS Lothian, review this urgently and ensure no one else goes through what I have.

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Responses

Response from Fiona Schofield, General Manager, Surgical Services, NHS Lothian yesterday
Fiona Schofield
General Manager, Surgical Services,
NHS Lothian
Submitted on 26/11/2025 at 10:11
Published on Care Opinion at 10:22


Dear Severely Let Down and Forgotten,

Thank you for taking the time to let the Gynaecology service hear about your patient journey. I am truly sorry to hear what you have been through, and that that has made you feel let down and that your care has not been joined up. The delays you have experienced resulting in increased pain is not the standard of care we wish anyone to experience. Please accept my sincere apologies for the stress and upset that this is causing you.

I would like to fully investigate the issues that you have raised in your Care Opinion feedback both to understand your experience and to understand where processes have broken down. I echo your desire to see NHS Lothian provide timely, coordinated care for individuals and therefore I value any opportunity where we can hear from patients to improve the care we provide. Please could you make contact with the NHS Lothian Patient Experience Team, by email feedback@nhslothinan.scot.nhs.uk or by telephone 0131 5363370 (Mon-Fri, (9am-2pm). This will enable the Patient Experience Team to share your details with the Gynaecology Service who will make contact with you.

Please accept my apologies and thank you for taking the time to bring this to our attention,

Kind regards

Fiona

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